To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Contract #23-622-2 with Quest Analytics, L.L.C.
?Recommendation of the County Administrator ? Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County, Software and Services Agreement #23-622-2 with Quest Analytics, L.L.C., a limited liability company, including mutual indemnification, in an amount not to exceed $195,000, for mandated health plan mapping software for the Contra Costa Health Plan (CCHP), for the period from October 31, 2024 through October 30, 2027.
FISCAL IMPACT:
This contract will result in contractual service expenditures of up to $195,000 over a 3-year period and will be funded 100% by Contra Costa Health Plan Enterprise Fund II.
BACKGROUND:
This Contract meets the needs of the County regarding producing reports that analyze health plans and providers for access and can map any of the elements present in the database, including claim cost, volume, and quality. CCHP utilizes geocoding software for network adequacy reporting required by California's Department of Health Care Services (DHCS). The Centers for Medicare and Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services that administers the Medicare program and works in partnership with state governments (such as DCHS) to administer (among other programs) Medicaid. CMS regularly updates regulations and guidance under the Affordable Care Act and other programs.
Quest Analytics is vital in helping CCHP stay current with these ever-evolving compliance requirements. In 2025, federal and state regulatory bodies will implement the Dual Eligible Special Needs Plans (D-SNPS) policy, introducing new compliance challenges for CCHP. This software as a service enables CCHP to assess its current Provider Network to ensure compliance with the upcoming regulatory requirement...
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